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Complaint Form

If you wish to file a discrimination, harassment, or retaliation complaint with ODI, please complete all required information in the form below. If you have any questions regarding the form, please contact us at programcomplaints@nsf.gov.

If you do not wish to file a complaint but want to report discrimination, harassment or retaliation in research and other programs funded by NSF, please this information to programcomplaints@nsf.gov or call 703-292-8020.

If you wish to file anonymously, you may enter "anonymous" in any of the mandatory fields below. Please be aware that ODI may be limited in its ability to investigate the complaint if it does not contain personal identifying information. ODI may also use the provided information for awardee civil rights compliance review site selection.

* Indicates required field

1. Your Information
2. Injured Party

Note: If someone other than yourself, please fill in the following information on their behalf.

3. Accommodations
4. Institution

What institution discriminated?
Note: ODI only has jurisdiction over entities that receive federal funding from NSF.

5. Responsible Party

Contact information of person responsible for the harassment/discrimination/retaliation (if known):

Note: ODI is required by regulation to refer complaints regarding individual acts of employment discrimination to the US Equal Employment Opportunity Commission (EEOC). To expedite the processing of your case, you can choose to file a complaint directly with the EEOC at https://www.eeoc.gov/employees/charge.cfm. You can refile with ODI no later than 60 calendar days of receiving the notice from EEOC of the resolution/disposition of your charge.

6. Description of Discrimination

Note: ODI enforces regulations that prohibit discrimination or harassment on the basis of race, color, national, origin, sex, disability, and/or age.

On what basis were you harassed or discriminated against?

In the space provided below, please describe each discriminatory action separately. For each action, you need to provide the following information:

  • date(s) the discriminatory action occurred;
  • name(s) of individual(s) who discriminated;
  • what happened;
  • witnesses (if any);
  • why you believe the discrimination was because of race, sex, disability, age, or whatever basis you indicated above or why you believe the action was retaliatory
7. Other Complaint Information
8. Waiver Request

Note: ODI will act only with respect to those allegations that have been filed within 90 calendar days of the date of the alleged discrimination (180 calendar days for allegations of age discrimination) unless the complainant is granted a waiver.

9. Desired Action / Remedy
10. Other Information

Note: You will be contacted with instructions for submitting this information at a later date (please do not send original documents).

11. Please Read!

ODI needs your signed consent form authorizing us to evaluate the information you are providing in this pre-complaint form. Please download the NSF CONSENT FORM, complete it, and email it to us at programcomplaints@nsf.gov.

Click 'Submit' to send your complaint to ODI. A staff person will contact you once we receive your electronic complaint form.